Individual
HALEY BLAKE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4729
(865) 394-6612
(865) 315-7014
Mailing address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4729
(865) 394-6612
(865) 315-7014
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-60830
GA
103K00000X
Behavior Analyst
Primary
LBA1574
TN
Other
Enumeration date
09/09/2022
Last updated
07/08/2024
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